| Type of Incident: | Other — Do not use if a team, player, coach, or spectator is involved.  Use only if the incident cannot be classified as any other Type of Incident above. | 
| Date of Incident: | 2024-04-28 | 
| Time of Incident: | 10:50:00 | 
| Location of Incident: | Depot Park, Santa Cruz, California | 
| Home Team: | Santa Cruz City SC - Nor Cal | 
| Visiting Team: | South San Jose Soccer League SSJ PSV Boys 08 Blue | 
| Age Group and Gender: | U16B | 
| Team Affiliation of Individual Committing Incident: | South San Jose Soccer League SSJ PSV Boys 08 Blue | 
| Incident Summary: | 2 players with valid player passes were added to the match card.  | 
| Comments: | No action taken.  |